| NPI | 1639474505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WAYNE MCFATTER President 334-858-2304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME65594) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-05-03 |